Wis. Admin. Code Department of Health Services DHS 133.17 - Home health aide services
(1) PROVISION OF
SERVICES. When a home health agency provides or arranges for home health aide
services, the services shall be given in accordance with the plan of care
provided for under s.
DHS 133.20, and shall be supervised by a registered nurse
or, when appropriate, by a therapist.
(2) DUTIES. Home health aide services may
include, but are not limited to:
(a) Assisting
patients with care of mouth, skin and hair, and bathing;
(b) Assisting patients into and out of bed
and assisting with ambulation;
(c)
Assisting with prescribed exercises which patients and home health aides have
been taught by appropriate health personnel;
(d) Preparing meals and assisting patients
with eating;
(e) Household services
essential to health care at home;
(f) Assisting patients to bathroom or in
using bedpan;
(g) Assisting
patients with self-administration of medications;
(h) Reporting changes in the patient's
condition and needs; and
(i)
Completing appropriate records.
(3) ASSIGNMENTS. Home health aides shall be
assigned to specific patients by a registered nurse. Written instructions for
patient care shall be prepared and updated for the aides at least each 60 days
by a registered nurse or appropriate therapist, consistent with the plan of
care under s.
DHS 133.20. These instructions shall be reviewed by the
immediate supervisors with their aides.
(4) TRAINING OF AIDES.
(a)
Curriculum. In addition
to the orientation required by s.
DHS 133.06(4) (a), the agency shall
ensure that all home health aides providing service have successfully completed
a course of training covering at least the following subjects:
1. The role of the home health aide as a
member of the health services team;
2. Instruction and supervised practice in
in-home personal care of the sick, including personal hygiene and activities of
daily living;
3. Principles of good
nutrition and nutritional problems of the sick and elderly;
4. Preparation of meals, including special
diets;
5. The needs and
characteristics of the populations served, including the aged and
disabled;
6. The emotional problems
accompanying illness;
7. Principles
and practices of maintaining a clean, healthy, and safe environment;
8. What, when and how to report to the
supervisor; and
9.
Record-keeping.
(b)
Training. Training, if provided by the agency, shall be
directed by a registered nurse. Physicians, nutritionists, physical therapists,
medical social workers, and other health personnel shall provide relevant
training when pertinent to the duties to be assigned.
Notes
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